HomeMy Public PortalAbout5521ALESSANDRO AVE_Plumbing 76A667 CE817 11 57 T snn 1
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APPLICATION FOR ,PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ABUILDING
DDRESS B—�
JOHN A LAMBIE County Engineer
CASSATT D GRIFFIN Supt of Building LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NUMBER FIXTURE OR ITEM
WATER CLOSET OWNER
MAIL
BATH TUB ADDRESS
SHOWER CITY ) A. I G TEL NO AY -LoSy�
LAVATORY CONTRACTOR (24n— i .
J SINK ADDRESS /44/
DISHWASHER CITY Ad d Ih... TEL NO �'� 8-/117
LAUNDRY TUB CONTRACTORS STATE
REGISTRATION NO �� S38 COUNTY ❑
CLOTHES WASHER DISTRICT NO GROUP ONE I?�ECTION
/ WATER HEATER
GAS SYSTEM INDUS
WASTE APPROVAL
44
.4 1,11LI INSPECTION RECORD
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APPROVALS j ZZ G' Li�oR�C M9DE
JIf $1 00 PISA $ I �G17 DATE + INSPECTOR S SIGNATURE
UNDER SLAB WORK - 07 + fl
PERMIT -,7-100 ROUGH PLUMBING7-0
TOTAL FEE 1-1
" GAS PIPING /� _
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REpUiRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTEE FINAL S
ROBERT A WOOD
®F VALIDATION SUPERVISING MECHANICAL ENG R
CK M 0 CASH
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_ACO 5771 'U") APR 27 5 A 700